Hepatic myelopathy after splenorenal shunting: report of one case and review of the literature
Journal | Volume 64 - 2001 |
Issue | Fasc.2 - Case reports |
Author(s) | Patrick Yengue, Michael Adler, Hassan Bouhdid, Nicolas Mavroudakis, Michel Gelin, Nadine Bourgeois |
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(1) Medico-surgical Department of Gastroenterology ; (2) Department of Neurology, Hopital Erasme, Université Libre de Bruxelles, Brussels, Belgium. |
Hepatic myelopathy is a rare complication of cirrhosis, usually associated with surgical or spontaneous porto-systemic shunts. Its pathophysiology is unknown. It is characterized by a motor involvement of the lower limbs without clinical sensory abnormality, leading to spastic paraparesis. These neurological features are related to a symmetric loss of myelin in the lateral corticospinal tracts. Usefulness of liver transplantation in this setting is not yet determined. We describe here the case of a 29-year-old male who presented with progressive spastic paraparesis of the lower limbs 3 years after a spleno-renal shunt. |
© Acta Gastro-Enterologica Belgica. |